<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8">
<title>Inserir Aluno</title>
</head>
<body id="main_body" >
	
	<div id="form_container">
	
		
		<form id="form_585006" class="appnitro"  method="post" action="/formbuilder/view.php">
					<div class="form_description">
			<h2>Inserir Aluno</h2>
			<p></p>
		</div>						
			<ul >
			
					<li id="li_2" >
		<label class="description" for="element_2">Nome </label>
		<div>
			<input id="element_2" name="element_2" class="element text medium" type="text" maxlength="255" value=""/> 
		</div> 
		</li>		<li id="li_3" >
		<label class="description" for="element_3">Data de Nascimento <br> </label>
		<span>
			<input id="element_3_1" name="element_3_1" class="element text" size="2" maxlength="2" value="" type="text"> /
			<label for="element_3_1">Dia</label>
		</span>
		<span>
			<input id="element_3_2" name="element_3_2" class="element text" size="2" maxlength="2" value="" type="text"> /
			<label for="element_3_2">Mês</label>
		</span>
		<span>
	 		<input id="element_3_3" name="element_3_3" class="element text" size="4" maxlength="4" value="" type="text">
			<label for="element_3_3">Ano</label>
		</span>
		</li>		<li id="li_4" >
		<label class="description" for="element_4">Nome da Mãe </label>
		<div>
			<input id="element_4" name="element_4" class="element text medium" type="text" maxlength="255" value=""/> 
		</div> 
		</li>		<li id="li_5" >
		<label class="description" for="element_5">Telefone da Mãe </label>
		<div>
			<input id="element_5" name="element_5" class="element text medium" type="text" maxlength="255" value=""/> 
		</div> 
		</li>		<li id="li_6" >
		<label class="description" for="element_6">Celular da Mãe </label>
		<div>
			<input id="element_6" name="element_6" class="element text medium" type="text" maxlength="255" value=""/> 
		</div> 
		</li>		<li id="li_7" >
		<label class="description" for="element_7">Nome do Pai </label>
		<div>
			<input id="element_7" name="element_7" class="element text medium" type="text" maxlength="255" value=""/> 
		</div> 
		</li>		<li id="li_8" >
		<label class="description" for="element_8">Telefone do Pai </label>
		<div>
			<input id="element_8" name="element_8" class="element text medium" type="text" maxlength="255" value=""/> 
		</div> 
		</li>		<li id="li_9" >
		<label class="description" for="element_9">Celular do Pai </label>
		<div>
			<input id="element_9" name="element_9" class="element text medium" type="text" maxlength="255" value=""/> 
		</div> 
		</li>		<li id="li_10" >
		<label class="description" for="element_10">Nome Responsável </label>
		<div>
			<input id="element_10" name="element_10" class="element text medium" type="text" maxlength="255" value=""/> 
		</div> 
		</li>		<li id="li_11" >
		<label class="description" for="element_11">Telefone Responsável </label>
		<div>
			<input id="element_11" name="element_11" class="element text medium" type="text" maxlength="255" value=""/> 
		</div> 
		</li>		<li id="li_12" >
		<label class="description" for="element_12">Profissão do Responsável ou dos Pais </label>
		<div>
			<input id="element_12" name="element_12" class="element text medium" type="text" maxlength="255" value=""/> 
		</div> 
		</li>		<li id="li_13" >
		<label class="description" for="element_13">Endereço do Aluno </label>
		<div>
			<textarea id="element_13" name="element_13" class="element textarea medium"></textarea> 
		</div> 
		</li>		<li id="li_14" >
		<label class="description" for="element_14">Telefone do Aluno </label>
		<div>
			<input id="element_14" name="element_14" class="element text medium" type="text" maxlength="255" value=""/> 
		</div> 
		</li>		<li id="li_15" >
		<label class="description" for="element_15">Com Quem Mora? </label>
		<div>
			<input id="element_15" name="element_15" class="element text medium" type="text" maxlength="255" value=""/> 
		</div> 
		</li>		<li id="li_16" >
		<label class="description" for="element_16">Quantas Pessoas Moram na Casa </label>
		<div>
			<input id="element_16" name="element_16" class="element text medium" type="text" maxlength="255" value=""/> 
		</div> 
		</li>		<li id="li_17" >
		<label class="description" for="element_17">Renda Mensal da Família </label>
		<div>
			<input id="element_17" name="element_17" class="element text medium" type="text" maxlength="255" value=""/> 
		</div> 
		</li>		<li id="li_18" >
		<label class="description" for="element_18">Escola </label>
		<div>
			<input id="element_18" name="element_18" class="element text medium" type="text" maxlength="255" value=""/> 
		</div> 
		</li>		<li id="li_19" >
		<label class="description" for="element_19">Série </label>
		<div>
			<input id="element_19" name="element_19" class="element text medium" type="text" maxlength="255" value=""/> 
		</div> 
		</li>		<li id="li_20" >
		<label class="description" for="element_20">Turno </label>
		<div>
			<input id="element_20" name="element_20" class="element text medium" type="text" maxlength="255" value=""/> 
		</div> 
		
			
					<li class="buttons">
			    <input type="hidden" name="form_id" value="585006" />
			    
				<input id="saveForm" class="button_text" type="submit" name="submit" value="Submit" />
		
			</ul>
		</form>	
		
	</div>
	</body>
</html>